{
  "vercy": "1.0-draft",
  "publication": {
    "status": "research-draft",
    "adjudicationStatus": "unreviewed",
    "publishableCanonical": false,
    "generatedAt": "2026-09-11T06:57:21Z",
    "providers": [
      "Claude"
    ],
    "breadth": "written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify",
    "pass": 2,
    "wave": 1,
    "engine": "claude",
    "enrichment": {
      "pass": 3,
      "engine": "claude",
      "producedAt": "2026-10-05T15:00:00Z",
      "ingestedAt": "2026-10-05T13:19:38+00:00",
      "fields": [
        "agent_conduct",
        "ethics",
        "owners"
      ]
    },
    "gate": {
      "passed": true,
      "version": "1.0",
      "at": "2026-10-06T19:52:00+00:00",
      "evidence": [
        "completeness 1.00",
        "sense: Wikidata description",
        "2 live sources",
        "review by codex: pass"
      ]
    }
  },
  "metaModel": {
    "id": "THING-Q42844",
    "registryId": "vr.tr.major-depressive-disorder",
    "name": "major depressive disorder",
    "version": "0.2.0-wave.1",
    "entryKind": "thing",
    "family": "Thing Registry",
    "domain": [
      "XCT.STA"
    ],
    "status": "research-draft"
  },
  "canonicalUrl": "https://ver.cy/models/thing/q42844/",
  "model": {
    "registry_id": "vr.tr.major-depressive-disorder",
    "name": "major depressive disorder",
    "purpose": "Let an agent give neutral, non-diagnostic information about depression, point to professional care, and give crisis contacts first when someone may be at risk.",
    "definition": "A common mental health condition characterised by persistent low mood or loss of interest or pleasure for at least two weeks, with changes in sleep, appetite, energy, concentration and self-worth, causing significant distress or impairment; it is treatable.",
    "what_it_is_for": "A recognised clinical condition, diagnosed and treated by health professionals.",
    "affordances": [
      "seek assessment from a doctor or mental health professional",
      "access evidence-based treatments such as talking therapies and medication",
      "contact crisis services when at risk",
      "support someone who is struggling"
    ],
    "distinguishing_features": [
      "Lasts at least two weeks",
      "Differs from ordinary sadness or grief in duration and impact",
      "Treatable",
      "Diagnosis needs a professional"
    ],
    "appearance": "Not visible; experienced as persistent low mood, loss of interest and other symptoms.",
    "visual_identification": [
      "Diagnosed with criteria such as DSM-5 or ICD-11",
      "Severity: mild, moderate, severe",
      "Recurrent and persistent forms"
    ],
    "physical_properties": [],
    "families_and_kinds": [
      "single episode and recurrent depression",
      "persistent depressive disorder",
      "depression with melancholic or other features",
      "perinatal depression",
      "treatment-resistant depression"
    ],
    "related_models": [
      {
        "relation": "is a kind of",
        "target": "depressive disorder and mental health condition",
        "why": "category"
      },
      {
        "relation": "is treated by",
        "target": "psychotherapy and medication",
        "why": "treatment"
      },
      {
        "relation": "is diagnosed by",
        "target": "health professional",
        "why": "assessment"
      },
      {
        "relation": "is related to",
        "target": "anxiety",
        "why": "co-occurring"
      }
    ],
    "identifiers": [
      {
        "scheme": "ICD-11",
        "value_or_pattern": "6A70-6A71",
        "note": "depressive episode and recurrent disorder"
      },
      {
        "scheme": "DSM-5",
        "value_or_pattern": "296.2x / 296.3x",
        "note": "major depressive disorder"
      }
    ],
    "standards_and_regulation": [
      "NICE guideline NG222 depression in adults",
      "WHO mhGAP guidance",
      "Mental health law and patient rights"
    ],
    "failure_modes_and_hazards": [
      "Self-diagnosis or diagnosis by an agent",
      "Missing signs that someone is at risk of harming themselves",
      "Stigmatising language",
      "Stopping medication without medical advice"
    ],
    "in_scope": [],
    "out_of_scope": [],
    "characteristics": [],
    "agent_conduct": {
      "may": [
        "Share reliable information about depression and how to find professional help.",
        "Point a person in crisis to emergency services or crisis lines."
      ],
      "must_not": [
        "Diagnose depression or prescribe or adjust treatment in place of a clinician.",
        "Discourage someone from seeking care or from taking prescribed treatment.",
        "Give information that could help a person harm themselves.",
        "Disclose a person's mental health condition without consent."
      ],
      "requires_human": [
        "Contacting emergency services when a person may be at risk of self-harm.",
        "Any change to a person's treatment."
      ]
    },
    "ethics": {
      "considerations": [
        "Depression is common and stigmatised; people deserve dignity and confidentiality.",
        "Untreated depression can be fatal, so delay and dismissal cause harm."
      ],
      "affected_parties": [
        "People living with depression",
        "Families and carers",
        "Clinicians"
      ]
    },
    "owners": {
      "steward": "Nobody owns the condition; each person's treating clinician answers for their care.",
      "master_systems": [
        "Clinical classification systems of the health authority"
      ]
    }
  },
  "sources": [
    {
      "id": "wikidata",
      "title": "Wikidata item Q42844: major depressive disorder",
      "url": "https://www.wikidata.org/wiki/Q42844",
      "url_status": "live",
      "what_it_supports": "identity and sense of the item",
      "checked_by": "wikidata-api"
    },
    {
      "id": "wikipedia-en",
      "title": "Wikipedia: Major depressive disorder",
      "url": "https://en.wikipedia.org/wiki/Major_depressive_disorder",
      "url_status": "live",
      "what_it_supports": "general description of the item",
      "checked_by": "wikidata-api sitelink"
    }
  ],
  "structure": {
    "bundles": [
      {
        "id": "safety",
        "name": "Safety",
        "description": "Crisis first.",
        "rationale": "Safety comes before anything else.",
        "layers": [
          {
            "id": "risk",
            "name": "Risk",
            "description": "Immediate danger.",
            "findings": [
              {
                "id": "risk-finding",
                "name": "Risk",
                "description": "Immediate risk.",
                "questions": [
                  {
                    "text": "Is the person in immediate danger, and should emergency services or a crisis line be contacted now?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Which crisis line serves their country?",
                    "kind": "action"
                  }
                ]
              }
            ]
          },
          {
            "id": "support",
            "name": "Support",
            "description": "Someone to talk to.",
            "findings": [
              {
                "id": "support-finding",
                "name": "Support",
                "description": "Immediate support.",
                "questions": [
                  {
                    "text": "Is there a trusted person who can be with them?",
                    "kind": "action"
                  },
                  {
                    "text": "How can the agent stay supportive without advising on treatment?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "care",
        "name": "Care",
        "description": "Professional help.",
        "rationale": "Diagnosis and treatment are professional.",
        "layers": [
          {
            "id": "assessment",
            "name": "Assessment",
            "description": "Seeing a professional.",
            "findings": [
              {
                "id": "assessment-finding",
                "name": "Assessment",
                "description": "Assessment.",
                "questions": [
                  {
                    "text": "How can someone get assessed by a doctor or mental health professional?",
                    "kind": "action"
                  },
                  {
                    "text": "What can they expect?",
                    "kind": "definition"
                  }
                ]
              }
            ]
          },
          {
            "id": "treatment",
            "name": "Treatment",
            "description": "Options.",
            "findings": [
              {
                "id": "treatment-finding",
                "name": "Treatment",
                "description": "Treatment options.",
                "questions": [
                  {
                    "text": "Which treatments do clinical guidelines describe?",
                    "kind": "provenance"
                  },
                  {
                    "text": "Who decides on treatment with the person?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "information",
        "name": "Information",
        "description": "Understanding.",
        "rationale": "Accurate information reduces stigma.",
        "layers": [
          {
            "id": "symptoms",
            "name": "Symptoms",
            "description": "What it is.",
            "findings": [
              {
                "id": "symptoms-finding",
                "name": "Symptoms",
                "description": "General information.",
                "questions": [
                  {
                    "text": "What does reliable health information say about depression?",
                    "kind": "provenance"
                  },
                  {
                    "text": "How does it differ from sadness or grief?",
                    "kind": "definition"
                  }
                ]
              }
            ]
          },
          {
            "id": "language",
            "name": "Language",
            "description": "Stigma.",
            "findings": [
              {
                "id": "language-finding",
                "name": "Language",
                "description": "Respectful language.",
                "questions": [
                  {
                    "text": "Is the language respectful and non-stigmatising?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Is recovery described as possible?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          }
        ]
      },
      {
        "id": "others",
        "name": "Supporting others",
        "description": "Family and friends.",
        "rationale": "Supporters need guidance too.",
        "layers": [
          {
            "id": "helping",
            "name": "Helping",
            "description": "What to do.",
            "findings": [
              {
                "id": "helping-finding",
                "name": "Helping",
                "description": "Helping someone.",
                "questions": [
                  {
                    "text": "How can a friend or family member help?",
                    "kind": "action"
                  },
                  {
                    "text": "When should they seek urgent help?",
                    "kind": "boundary"
                  }
                ]
              }
            ]
          },
          {
            "id": "rights",
            "name": "Rights",
            "description": "Work and study.",
            "findings": [
              {
                "id": "rights-finding",
                "name": "Rights",
                "description": "Rights.",
                "questions": [
                  {
                    "text": "What adjustments at work or study may be available?",
                    "kind": "boundary"
                  },
                  {
                    "text": "Who can advise?",
                    "kind": "action"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  },
  "openQuestions": [
    "How should crisis contacts be localised on the page?",
    "Should subtypes be separate entries?",
    "How should treatment guidance be linked to authoritative sources?"
  ],
  "statistics": {
    "bundles": 4,
    "layers": 8,
    "findings": 8,
    "questions": 16
  }
}
